Care Coordinator / Navigator (Non-Clinical) - Bristol County
Company: Fallon Community Health Plan
Location: Fall River
Posted on: May 16, 2022
|
|
Job Description:
Care Coordinator / Navigator (Non-Clinical) - Bristol
CountyUS-MA-Fall RiverJob ID: 6832Type: Full Time# of Openings:
1Category: Administrative/ClericalRecruiting Location - Fall River,
MAOverviewThis Care Coordinator or Navigator is mostly Work From
Home. Home visits may be required in future. Prefer Portuguese
speaking! Fallon Health Vaccination Requirements:To protect the
health and safety of our workforce, members and communities we
serve, Fallon Health now requires all employees to disclose
COVID-19 vaccination status. As of 2/1/2022 all roles not
designated as "Remote" require full COVID-19 vaccination and Fallon
Health will obtain the necessary information from candidates prior
to employment to ensure compliance. Failure to meet the vaccination
requirement may result in rescission of an employment offer or
termination of employment. About Fallon HealthFounded in 1977,
Fallon Health is a leading health care services organization that
supports the diverse and changing needs of those we serve. In
addition to offering innovative health insurance solutions and a
variety of Medicaid and Medicare products, we excel in creating
unique health care programs and services that provide coordinated,
integrated care for seniors and individuals with complex health
needs. Fallon has consistently ranked among the nation's top health
plans, and is accredited by the National Committee for Quality
Assurance for its HMO, Medicare Advantage and Medicaid products.
For more information, visit fallonhealth.org.About NaviCare:Fallon
Health is a leader in providing senior care solutions such as
NaviCare, a Medicare Advantage Special Needs Plan and Senior Care
Options program. Navicare integrates care for adults age 65 and
older who are dually eligible for both Medicare and MassHealth
Standard. A personalized primary care team manages and coordinates
the NaviCare member's health care by working with each member, the
member's family and health care providers to ensure the best
possible outcomes. The Navigator is an integral part on an
interdisciplinary team focused on care coordination, care
management and improving access to and quality of care for Fallon
members. Brief summary of purpose:The Care Coordinator or Navigator
partners with Fallon Health Care Team staff and other providers to
communicate at all times what is occurring with the member and
their status. The Care Coordinator or Navigator seeks to establish
telephonic and face to face (depending upon product and
circumstance) relationships with the member/caregiver(s) and
provider partners to better ensure ongoing service provision and
care coordination, consistent with the member specific care plan.
In order to effectively advocate for member needs, the Care
Coordinator or Navigator may make in home or facility visits
(depending upon the product and circumstances) with or without
other Care Team members to fully understand a member's care needs.
ResponsibilitiesResponsibilities include but are not limited to:
Coordinating care and community-based services for members of the
NaviCare programCentral point of contact for member and providers,
facilitating to meet member needs and transitionsConducting
telephonic assessments and may conduct face to face member visits
to assess members utilizing TruCare Assessment ToolsMaintaining
member records- including but not limited to adhering to CMS
regulatory requirements, documentation, outreaching to members to
educate and coordinate clinical/preventative screeningsEstablishing
and developing effective working relationships with community
partners such as housing staff, adult day health care staff,
assisted living staff, group adult foster and adult foster care
staff, rest home staff, long term care facilities and other
providers including primary care providers with the goal to
facilitate member specific communication, represent Fallon Health
in a positive and effective manner, and work to grow membership in
the various Fallon Health products as
applicableQualificationsEducation: College degree (BA/BS in Health
Services or Social Work) preferredLicense/Certifications: Current
MA Driver's License and reliable transportation. No certifications
are required.---Other: Satisfactory Criminal Offender Record
Information (CORI) results. Experience:2+ years job experience in a
managed care company, medical related field, or community social
service agency requiredUnderstanding of hospitalization experiences
and the impacts and needs after facility discharge
requiredProficient in Microsoft Office applicationsKnowledge of
computer-based phone system preferred Fallon Health provides equal
employment opportunities to all employees and applicants for
employment and prohibits discrimination and harassment of any type
without regard to race, color, religion, age, sex, national origin,
disability status, genetics, protected veteran status, sexual
orientation, gender identity or expression, or any other
characteristic protected by federal, state or local laws.
PM16PI177593656
Keywords: Fallon Community Health Plan, Fall River , Care Coordinator / Navigator (Non-Clinical) - Bristol County, Healthcare , Fall River, Massachusetts
Click
here to apply!
|